Individual
KELLY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED., CCC-SLP
Contact information
Practice address
10020 MAHLER PL, OKLAHOMA CITY, OK 73120-3312
(405) 206-2077
(405) 607-0452
Mailing address
10020 MAHLER PL, OKLAHOMA CITY, OK 73120-3312
(405) 206-2077
(888) 503-8391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2622
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200020760 A
—
OK
Enumeration date
10/13/2006
Last updated
10/10/2025
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